Some say sex gets better with age, but the changes that happen as the body gets older need to be accomodated - see what the Ageing and Sexuality expert has to say.

I am a 54 year old white male, married for 25 years. I was overweight with hypertension, and on Almoc / Ziak / Prexum. I have lost most of my excess weight (About 30 kgs over 12 months), and now only on Ziak 2,5 g and Amloc 2,5 mg. My blood pressure is down to 120/80, and my doctor is considering taking me off last of the BP tablets.

When the problem beganAbout two years ago I started experiencing ED problems on occasion. The doctor put me on 50mg Viagra. Once I lost weight I needed the Viagra less and less, and I've gone for about 6 months with no problems, having sex two to three times a week. When problems reoccur I go back on 25mg Viagra until my confidence is back, and then no longer use the tablets.

These are my questions:

What can you recommend generally for ED?

Are either of the blood pressure tablets having any effect on the ED?

Should I talk further with my doctor, or should I ask him to refer me to a urologist?

Am I suffering from performance anxiety?

If so – what recommendations are there for performance anxiety?

Am I suffering from Premature Ejaculation?

Is there any medication that can be taken in conjunction with the Viagra to solve Premature Ejaculation?

Ask the Expert

Dr Kenny du Toit is a urologist practicing in Rondebosch, Cape Town. He is also consultant at Tygerberg hospital, where he is a senior lecturer at Stellenbosch University. He is a member of the South African Urological Association, Colleges of Medicine South Africa and Société Internationale d’Urologie. Board registered with both the HPCSA (Health professions council of South Africa) and GMC (General medical council UK). He has a keen interest in oncology, kidney stones and erectile dysfunction.http://www.dutoiturology.co.za

posted on 14/05/2018

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